Active NPI
Real Talk Counseling From an Urban Perspective
- Adult Mental Health Clinic/Center
- Aurora, CO
National Provider Identifier
1619605532
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Mental Health Clinic/Center
- Legal business name
- REAL TALK COUNSELING FROM AN URBAN PERSPECTIVE
- Practice address
- 2323 S Troy St Ste 5-209
Aurora, CO 80014-1900 - Phone
- (303) 377-0370
- NPI assigned
- Aug 9, 2022
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dawaune Latieth Ellis, M.S.
- Title
- Executive Director
- Phone
- (303) 377-0370
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Clinic/Center (Including Community Mental Health Center) | 261QM0801X | |||
| Adult Mental Health Clinic/Center | 261QM0850X | Primary |
Addresses
Primary practice location
2323 S Troy St Ste 5-209
Aurora, CO 80014-1900
Mailing address
2323 S Troy St Ste 5-209
Aurora, CO 80014-1900
Phone (303) 377-0370
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2438-01 | Other | CO | OBH COLORADO LICENSE |
National Provider Directory
National Provider DirectoryLocations
2323 S Troy St
Ste 5-209
Aurora, CO 80014
Phone (303) 377-0370
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Counseling Psychologist
- Aurora, CO
- NPI 1568992741
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1660003200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1660003200000",
"number": "1619605532",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2323 S TROY ST STE 5-209",
"city": "AURORA",
"state": "CO",
"postal_code": "800141900",
"telephone_number": "303-377-0370"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2323 S TROY ST STE 5-209",
"city": "AURORA",
"state": "CO",
"postal_code": "800141900",
"telephone_number": "303-377-0370"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "REAL TALK COUNSELING FROM AN URBAN PERSPECTIVE",
"organizational_subpart": "NO",
"enumeration_date": "2022-08-09",
"last_updated": "2022-08-09",
"certification_date": "2022-08-09",
"status": "A",
"authorized_official_last_name": "ELLIS",
"authorized_official_first_name": "DAWAUNE",
"authorized_official_middle_name": "LATIETH",
"authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
"authorized_official_telephone_number": "303-377-0370",
"authorized_official_credential": "M.S."
},
"taxonomies": [
{
"code": "261QM0801X",
"taxonomy_group": "",
"desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
"state": null,
"license": null,
"primary": false
},
{
"code": "261QM0850X",
"taxonomy_group": "",
"desc": "Clinic/Center, Adult Mental Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "OBH COLORADO LICENSE",
"identifier": "2438-01",
"state": "CO"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Aurora, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 9, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.